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JENNIFER LEARY
NPI 1225994221
Chiropractor in Saint Louis, MO

Active since January 02, 2026
12636 LAMPLIGHTER SQUARE SHPG CTR, SAINT LOUIS, MO 63128(856) 430-4531 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2026, May 13, 2026, Jan 2, 2026 (3 updates tracked since 2026).

About Jennifer Leary NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER LEARY (NPI 1225994221) is an individual chiropractor in Saint Louis, Missouri, licensed in Missouri (2025053733) and active in the NPI registry since January 2026. She is a graduate of Logan College Of Chiropractic (2025).

NPPES Registry Identity

NPI1225994221
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameJENNIFER LEARY
Location Address12636 LAMPLIGHTER SQUARE SHPG CTRSaint Louis, MO 63128-2746
Mailing Address12636 Lamplighter Square Shpg CtrSaint Louis, MO 63128-2746
Phone(856) 430-4531
Sole ProprietorYes
Medical School CMSLogan College Of ChiropracticGraduated 2025
Enumeration DateJanuary 2, 2026
Last NPPES UpdateMay 21, 20263 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
✔ NPI 1225994221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MO · 2025053733
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
12636 LAMPLIGHTER SQUARE SHPG CTR, Saint Louis, MO 63128
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Leary is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113406307
PECOS Enrollment IDI20260209001222

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BETHANY KATHLEEN HAAS NIEHAUS DC
Chiropractor
12636 LAMPLIGHTER SQUARE SHPG CTR
SAINT LOUIS, MO 63128
St. Louis County (314) 330-5773
RAPHA CHIROPRACTIC
Chiropractor
12636 LAMPLIGHTER SQUARE SHPG CTR
SAINT LOUIS, MO 63128
St. Louis County (856) 430-4531

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Leary's NPI number?

The NPI number for Jennifer Leary is 1225994221. It was assigned to this individual provider in the NPPES registry on January 2, 2026.

Where is Jennifer Leary located?

Jennifer Leary practices at 12636 Lamplighter Square Shpg Ctr, Saint Louis, MO 63128. The listed phone number is (856) 430-4531.

What is Jennifer Leary's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jennifer Leary enrolled in Medicare?

Yes. Jennifer Leary is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Leary was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.